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Cyanocobalamin is distributed into breast milk in amounts similar to those in maternal plasma, and distribution in breast milk allows for adequate intakes of cyanocobalamin by breast-feeding infants

However, it can be found in foods like fish, eggs, meat and dairy products

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Symptom-specific management can provide relief: For headaches: paracetamol (following package instructions) and rest in a quiet, darkened room For nausea: small, frequent meals and ginger tea For sleep disturbance: maintain regular sleep schedules and avoid caffeine after midday For anxiety or restlessness: gentle exercise, relaxation techniques, or mindfulness practices Monitoring and communication with your healthcare team is essential